Anti Fraud Report

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State of Washington

Office of the Insurance Commissioner

ANTI-FRAUD ANNUAL REPORT

Year Ending: DECEMBER 31, 20___

Company Name:

NAIC #:

Group Name:

Group Code #:

Does this report include the experience of any affiliates or subsidiaries? Yes No

If yes, please list the name and NAIC # for each such company:

I. FRAUD PREVENTION AND DETECTION

A. Please provide a brief commentary about actions taken to prevent and detect internal fraud during this reporting period.

B. Please provide a brief commentary about actions taken to prevent and detect external fraud during this reporting period.

C. Are underwriting and claim files maintained under Security?

If yes, please describe.

D. Please provide a brief commentary about your measures to secure electronic systems and data.

E. Please provide a brief commentary about the amount of resources committed to combating fraud during this reporting period.

II. FRAUD INVESTIGATIONS

Please provide a brief commentary about your investigative staff and/or outside service provider.

III. REFERRAL OF FRAUDULENT ACTIVITY TO LAW ENFORCEMENT

Please provide a brief commentary about the type of cases uncovered and prosecuted in this report period.

IV. CIVIL ACTION AGAINST FRAUDULENT ACTIVITY

Please provide a brief commentary about the type of cases uncovered and prosecuted in this report period.

V. FRAUD DETECTION TRAINING

Please provide a brief commentary about monitoring procedures and frequency of departments to ensure procedures are being properly addressed.

VI. STATISTICS

Please identify the lines of insurance (e.g. private passenger auto, commercial general liability) for which data are included in this report:

A. Policy Data

1. # of policies in force at end of year:

2. # of new applications received during year:

3. # of fraudulent applications:

B. Claim Data

1. # of claims received:

2. # of suspected...